Jennifer Ilene Thompson, BSN, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

69362 Issued in WV

Practice address

148 McDowell St
Welch, WV 24801-2225

Phone

(304) 436-6800

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Ilene Goins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1033701859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012225",
            "telephone_number": "304-436-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012225",
            "telephone_number": "304-436-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JENNIFER",
        "middle_name": "ILENE",
        "name_prefix": "Ms.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WV",
            "license": "69362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GOINS",
            "middle_name": "ILENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruby Kaylene Szaller
• Lisa Tankersley
• Mahala Darlene Taylor
• Hunter Lee Testerman, PHARMD
• Faith Autumn Thompson
• Megan Makenzie Tiller
• Amber Danielle Toler
• Kellie Rena Toler
• Tug River Health Association, Inc
• Tug River Health Association, Inc.

• General Practice Registered Nurse in Welch, WV
• Providers in Welch, WV by specialty
• General Practice Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.